NP Rank:
The Cracks In The Boards Are Reformed By NHS Sec Of State ?
By Art De Rivers .
The cracks of bad NHS light have been opened up and are now the subject of quick reform by Alan Johnson Secretary Of State for Health under the raw media and public pressure of so many deaths reported, petitions happening, legal action pending, and other events which point to an unhealthy closed culture at Board level of NHS Foundation Hospital Trusts .
Risk and death to patients is in the news because of poor governance and processes of transparency
90 Death C Difficile Maidstone and Tunbridge Wells Trusts
The Margaret Haywood de-registered Nurse whistleblowing case also showed parts of the authorities are out of touch with the public interest and public sentiment to protect life .
The Performance culture of appearances of "health" are under increasing UK scrutiny by raw forces .
It has to be said patient and public involvement has almost been wrecked by the Labour Gov't in march 2008 with the weak introduction of Local Involvement Networks and the disbanding of the PPI forums some of which were partly effective. Governors at FT's another new arrangement for many Foundation Trusts are also a very weak link of accountability too .
Alan Johnson has now responded and wants changes to restore the public confidence in the NHS and Health Service Journal, all credit to them (Dave West) are right on top of reporting developments :
What will change?
- Boards will be told to be open and transparent, including holding board meetings in public
- A summit will be held on the four hour accident and emergency waiting target
- The staff survey question on care at their own trusts will be reintroduced
- CQC and NHS medical directors will have a role in the foundation bidding process
- Hospital standardised mortality ratios are to be published more widely
- Commissioners will validate quality accounts
- The national quality board is to review system issues by the end of the year
- The CQC is to review Mid Staffordshire in six months
- The government will review the balance between co-operation and competition rules in summer
- More support for local involvement networks
- Trusts will have a duty to publish a patient and public involvement statement
Is all this enough ? Probably not - its a start in restoring transparency and public accountability. However many NHS Trust observers will note that NHS Trust committee minutes available online for some time seem to be often shorter and more able to say less as soon as NHS Hospital Trusts become Foundation Trusts .
It appears in a rush to implement a sense of commercial confidentiality, the top staff had identified a way to smudge transparency too into what is happening ..
Let's hope this secret service approach to health ends and some of these health dictatorships are overthrown .
ADR
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